Individual
MS. KRISTIN D BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2120 BRYAN VALLEY COMMERCIAL DR, O FALLON, MO 63366-3495
(314) 774-1859
(636) 240-8096
Mailing address
2120 BRYAN VALLEY COMMERCIAL DR., OFALLON, MO 63366
(314) 774-1859
(636) 240-8096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011032194
MO
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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